Evidence map›Paper›PMID 40201585›Full record

ArticleFrontiers in nutrition2025

A retrospective cohort study of H-type hypertension and its influence on the prognostic effect in patients with non-dialysis CKD.

Xiaoyu Cai, Menglei Ju, Xinying Jiang, Shengnan Ge, Yuzhang Han, Shumin Lin, Hui Peng, Man Li, Cheng Wang

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xiaoyu Cai *Division of Nephrology, Department of Medicine, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China.
Menglei Ju *Division of Nephrology, Department of Medicine, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China.
Xinying JiangDivision of Nephrology, Department of Medicine, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China.
Shengnan GeDivision of Nephrology, Department of Medicine, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China.
Yuzhang HanDivision of Nephrology, Department of Medicine, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China.
Shumin LinDivision of Nephrology, Department of Medicine, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China.
Hui PengDivision of Nephrology, Department of Medicine, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China.
Man Li *Guangdong Provincial Key Laboratory of Biomedical Imaging, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China.
Cheng Wang *Division of Nephrology, Department of Medicine, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The study aimed to investigate the impact of coexistence of hyperhomocysteinemia (HHcy) and hypertension (HTN), referred to as H-type hypertension on kidney outcomes and major adverse cardiovascular and cerebrovascular events (MACCEs) in patients with non-dialysis chronic kidney disease (CKD). Methods: This retrospective study enrolled 2,558 non-dialysis CKD patients admitted to two medical centers in China between 2010 and 2022. The participants were divided into four groups according to baseline blood pressure and homocysteine levels: (1) normotension with normohomocysteinemia; (2) normotension with HHcy; (3) hypertension with normohomocysteinemia; and (4) H-type hypertension. Cox regression model was applied to assess the relationship between these groups and renal outcomes/MACCEs. Mediation analysis was performed to assess the influence of HHcy on the link between hypertension and the outcomes. Results: Three hundred and eighty renal endpoint events and 211 MACCEs were recorded. The H-type hypertension group demonstrated higher incidence of renal events (age-adjusted incidence: 83.71/1,000 person-years vs. 24.50/1,000 person-years) and MACCEs (age-adjusted incidence: 41.28/1,000 person-years vs. 17.21/1,000 person-years) compared to the normotension with normohomocysteinemia group. After adjusting for confounders, H-type hypertension independently elevated the risk of kidney outcomes by 312% (HR = 4.12, 95% CI: 2.66-6.37) and MACCEs by 127% (HR = 2.27, 95% CI: 1.28-4.02). No statistically significant mediated effect of HHcy on the relationship between hypertension and renal outcomes or MACCEs was observed. Conclusion: H-type hypertension is associated with renal deterioration and cardiovascular events in non-dialysis CKD patients, early detections of H-type hypertension are essential to enhancing the prognosis for CKD patients.

Indexed as

CKDH-type hypertensionhyperhomocysteinemiaMACCEsprognosis

Identifiers

PMID40201585
PMCPMC11975582

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